NPI: 1861894032 · FREEPORT, NY 11520 · Adult Day Care Clinic/Center · NPI assigned 09/19/2014
| Authorized Official | KHAIMOV, KONSTANTIN (VP) |
| NPI Enumeration Date | 09/19/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 7,560 | $285K |
| 2019 | 14,813 | $730K |
| 2020 | 7,757 | $301K |
| 2021 | 9,291 | $335K |
| 2022 | 10,701 | $553K |
| 2023 | 13,364 | $677K |
| 2024 | 14,763 | $770K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S5105 | Day care services, center-based; services not included in program fee, per diem | 38,525 | 4,009 | $2.70M |
| S5102 | Day care services, adult; per diem | 8,502 | 839 | $401K |
| A0110 | Non-emergency transportation and bus, intra or inter state carrier | 11,169 | 1,053 | $234K |
| S9977 | Meals, per diem, not otherwise specified | 15,974 | 1,543 | $216K |
| T2003 | Non-emergency transportation; encounter/trip | 3,113 | 316 | $77K |
| A0100 | Non-emergency transportation; taxi | 966 | 105 | $24K |